医护协同无缝隙模式在急诊输液患者中的应用效果

目的 观察医护协同无缝隙模式在急诊输液患者中的应用效果,为提高急诊输液服务质量提供参考。 方法 采用便利抽样法选取急诊科医护协同无缝隙模式实施前(2015年6月-2016年2月)、实施后(2016年3~12月)急诊输液患者各210例作为观察对象,设为对照组和观察组。比较2组患者静脉输液方式、静脉输液并发症的发生情况。 结果 观察组使用普通输液针占43.81%、安全留置针占35.71%,经外周中心静脉置管占9.05%,中心静脉插管占11.43%,对照组使用普通输液针占65.71%、安全留置针占15.24%,经外周中心静脉置管占8.10%,中心静脉插管占10.95%,2组输液方式构成比较,差异有统计学意义(χ²=26.613,P<0.001)。观察组静脉输液并发症发生率6.67%明显低于对照组的23.81%,差异有统计学意义(χ²=23.890,P<0.001)。 结论 医护协同无缝隙模式避免了独立工作存在的问题,可更全面地了解患者的情况,提高医疗服务质量和患者的安全性。

Application of doctor-nurse seamless cooperation in emergency transfusion patients

Objectives To observe the effect of doctor-nurse seamless cooperation on emergency transfusion patients, so as to provide references for improving the quality of emergency transfusion services. Methods Totally 210 patients undergoing emergency transfusion between June 2015 and February 2016 were selected into a control group, while another 210 receiving emergency transfusion between March and December 2016 were chosen into an observation group. The doctor-nurse seamless cooperation model was adopted in the observation group, but not in the control group. The transfusion methods and complications were compared between the two groups. Results In the observation group, the percentage of using ordinary transfusion needles, indwelling needles, the peripheral center venipuncture and central venous cannula were 43.81%, 35.71%, 9.05%and 11.43% respectively, while the control group were 65.71%, 15.24%, 15.24% and 8.10% respectively. There was statistically significant of the composition ratio of infusion methods between 2 groups (χ²=26.613, P<0.001). The rate of complications was 6.67% in the observation group, significantly lower than the control group of 23.81% (χ²=23.890, P<0.001). Conclusions Doctor-nurse seamless cooperation helps to avoid the problem of working independently, promote a more comprehensive understanding of the clinical situation and increase the quality of medical service and the safety of patients.